Insight, analysis & opinion from Joe Paduda

< Back to Home

Feb
22

A.I.: The Basics

AI is all over healthcare, from assisting in diagnosis to evaluating new medicines, from allocating resources to triage. Sure, there’s enormous potential – there’s also big risks. At last fall’s National Work Comp conference AI was all over the exhibit floor….in recent surveys HSA has conducted we have seen a dramatic rise in AI-related comments.

What’s apparent from our conversations with industry execs is this: AI is…in the eye of the beholder.

While industry folks talk about AI’s potential, they readily acknowledge their understanding is superficial at best.

I asked Jay Stith, the brains behind HSA’s analytical work – he’s also worked extensively with AI applications in his work with HSA and on the national scale for disaster prediction and preparation – to give you, dear readers, a very brief overview of what AI is, how it “works” and where it might be useful.

At its core AI represents the culmination of efforts to infuse machines with human-like cognitive functions. The engine driving AI’s transformative power is machine learning – a discipline enabling algorithms to learn from data patterns. This not only facilitates automation but also empowers AI systems to continuously enhance their performance, making them dynamic and adaptable to evolving challenges.

This potential doesn’t come without cost. Once you decide to pursue AI, launching a competent AI system requires a lot of work:

• Determining what problem you want AI to address,
• acquiring the resources (money and infrastructure) ,
• earning management and staff buy-in,
• acquiring the talent to develop AI,
• assessing/cleaning up/revising the data used to “train” AI
• developing metrics to evaluate the AI’s output
• building the AI model/tool/program/etc. structure,
• adequately training the AI, and
• then…the dreaded implementation phase.

All while navigating the tricky ethical considerations associated with AI (privacy, ownership, algorithmic bias, hallucinations, and employee displacement) and the looming threat of increases/changes in regulations.



That said…safely navigating the path will lead to much improved productivity, clinical outcomes, and lower costs for all.

More specifically, stakeholders believe AI in worker’s comp can be very beneficial throughout the workflow –from the basics like increasing speed and accuracy across the board all the way to enhancing predictive analytic capabilities and most, if not everything, in-between.

What does this mean for you?

The potential is huge but be mindful of the arduous process to get there.


4 thoughts on “A.I.: The Basics”

  1. Joe, fully agree with your comments. My involvement in AI started a half-century ago, while at the Laboratory of Computer Science at MGH. The changes we have seen in the past year are more profound than the previous 49 years. There is enormous potential, and significant challenges.

    Your readers may find of interest the blogs at http://www.emedicolegal.com, including a recent one on “The Future is Rapidly Approaching” I state “In the not-so-distant future, we stand on the precipice of a new era in medicine and law, where the integration of artificial intelligence (AI) into the medicolegal realm will be as common as the stethoscope—a tool inseparable from the practice of a physician. The field of AI is evolving rapidly, and we can predict that this growth will not merely continue but will expand exponentially, blossoming in capabilities and applications.” The full blog is at https://www.emedicolegal.com/blog/the-future-is-rapidly-approaching

    Thanks for all your contributions to our field.

    1. Thanks for the note and recommendation Chris – not surprised you were in the vanguard at Mass General.

      Today’s news hit with a pretty awful story about the wildly inappropriate
      use of AI in Medicaid re-determinations that led apparently led to massive disenrollments that never should have happened.

      https://healthlaw.org/wp-content/uploads/2024/01/NHeLP-EPIC-Upturn-FTC-Deloitte-Complaint.pdf

      Reality is thousands of poor and sick people may have been grievously harmed – babies, moms, disabled, mentally challenged and sick people.

      Argh.

      be well Joe

  2. Several studies done in 2023 point to where AI can be very effective: in accelerating the development of proficiency within professional teams, such as lawyers, software programmers, and even chess players. Claims adjusting teams will be able to improve the performance of the team, help in particular the relatively weak performance, and — i expect — lower staff turnover.

Comments are closed.

Joe Paduda is the principal of Health Strategy Associates

SUBSCRIBE BY EMAIL

SEARCH THIS SITE

A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.

 

DISCLAIMER

© Joe Paduda 2024. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

Note: Some material on this page may be excerpted from other sources. In such cases, copyright is retained by the respective authors of those sources.

ARCHIVES

Archives